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Active NPI 1710570916 Individual Practitioner Female Practitioner

Ely Pena , MS

Specialist • Saint Albans, NY

Professional Overview & Biography Verified Profile Summary

Ely Pena, MS is a registered healthcare professional specializing in Specialist in Saint Albans, NY. Practice services are available at 11835 FARMERS BLVD APT 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

11835 Farmers Blvd Apt 106

Saint Albans, NY 114124004

Telephone 9172722014

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Saint Albans, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 34.9 Yrs
Regional Practice Density
23 Specialists

Practicing in Saint Albans, NY (23296 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-02-14
Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NY 2594179

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Passport
550493040 (NY)
Commercial Insurance / Payer ID Driver License
127-572-899 (NY)
Commercial Insurance / Payer ID Driver License
127572899 (NY)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active February 18, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location February 18, 2021

Registered at 11835 FARMERS BLVD APT 106, SAINT ALBANS, NY 114124004 (Tel: 9172722014)

📍
Updated Business Mailing Address February 18, 2021

Registered at 11835 FARMERS BLVD APT 106, SAINT ALBANS, NY 114124004 (Tel: 9172722014)

👤
Provider Name / Credentials Updated February 18, 2021

Recorded as ELY PENA, MS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 18, 2021

Specialist (License #2594179 in NY)

🟢
Initial NPI Registration & Enumeration February 18, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710570916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 18, 2021
Last Update: February 18, 2021
Sole Proprietor: No
Update or Correct Profile

Mailing Address

11835 Farmers Blvd Apt 106

Saint Albans, NY 114124004

Phone: 9172722014

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.